How to change the old-style OMS policy to a new one. A unified compulsory medical insurance policy of a new type: where to get it, replacement and other issues New health insurance policies

In order to get a policy of compulsory health insurance a citizen must contact a division of an insurance company authorized to deal with compulsory medical insurance.

When applying for the issuance of an OMI policy, the company will require the following list of documents:

identity document. First of all, this is a citizen's passport (for persons who have already turned 14 years old) or a parent's passport, who draws up a compulsory medical insurance policy for a child under the age of 14 years. In addition to the passport, equivalent identification documents are accepted, for example, a military ID or a driver's license.
birth certificate in case of compulsory medical insurance policy for children under the age of 14
SNILS or insurance certificate of the state pension insurance
persons with refugee status will additionally need to present a certificate of granting such status or a temporary certificate issued for the period of consideration of the application for granting refugee status.

So it will be useful to find out how you can replace an insurance company for compulsory medical insurance - see details on the link.

In situations where it is required to replace the compulsory medical insurance policy with a new one, the replacement procedure is as follows.

You need to contact insurance organizationcarrying out compulsory health insurance.

Submit an application to replace the OMS policy. Attach documents according to the list given in the article earlier.

The compulsory medical insurance policy is a document confirming the right of citizens to receive medical care.
The policy is issued in paper and electronic format.
When applying for a compulsory medical insurance policy, you must provide the insurance company with a certain list of documents.
The period for issuing an OMI policy is on average 30 days.
For the period of registration of a permanent compulsory medical insurance policy, a temporary certificate is issued, according to which you can also receive medical care.

* - cover photo 360tv.ru

How does compulsory health insurance work?

Electronic health insurance policy - what is it?

The policy is issued to all citizens of the Russian Federation (except for military personnel - they have their own medicine, which is paid from the budget, and not by compulsory medical insurance), foreign citizens who permanently reside in the Russian Federation, and even stateless people.

Foreign citizens and those who do not have citizenship receive a policy for a certain period - as long as their temporary residence permit is valid.

There is no need. The compulsory medical insurance policy is valid throughout the territory of the Russian Federation, and it does not matter in which region you were issued it.

But if you have changed your place of residence, you must definitely come to the local branch of your insurance company within a month and inform about the move. Registration or registration will not be required from you.

If the company that issued you the policy does not have branches in the city where you moved, you need to contact any other company that insures citizens under compulsory medical insurance. A list of these companies can be found on the website of the territorial CHI fund for the new place of residence.

The release of the new sample forms will allow:

remove counterfeit forms from circulation,
will reduce the likelihood of the appearance of counterfeits,
will force policyholders to abandon the purchase of a fake and purchase a new compulsory motor third party liability insurance policy.

If your previous policy did not expire before July 1, 2016, then you do not need to urgently purchase a new insurance. The old green forms are valid until the expiration of the auto insurance period specified in the contract.

New policies in mandatory issued after October 1, 2016. The registration process remains the same. The innovations will not affect car owners who have electronic OSAGO policies at all.

Buy new policy You can OSAGO at the nearest AlfaStrakhovanie office in Moscow or another city. For more information, contact a company consultant.

Figure: 1. Front side

The front side of the electronic MHI policy contains:

An identification number consisting of 16 characters.
Coat of arms of Russia and the official logo of the OMS system.
Chip. The miniature chip encrypts the policyholder's personal data, information about the company where he is insured, information about the territory where he will be provided free medical services.

Figure: 2. Back side

Name and signature of the policyholder.
Photo.
Serial number of the document (under the photo).
A holographic mark that confirms that the document is genuine.
Date of Birth.
The validity period of the electronic health insurance policy.
Contact number The Territorial Fund of CHI.

To obtain a document of a new sample, the insured must provide only a passport and SNILS (if there is a "green card"). The situation becomes somewhat more complicated if a person without registration or a foreign citizen applies for compulsory medical insurance: in the first case, a certificate of temporary registration must be attached to the passport, in the second - a residence permit.

If an adult citizen draws up a policy for a child, the passport of the citizen himself (parent or legal representative) and the child's passport or his birth certificate (for children under 14 years of age) will be required.

first of all, this is a passport held by every citizen who has turned 14 years old, or the passport of the parent who came to the office of the insurance organization to write an application, and in the absence of any citizenship - an equivalent identity card;
birth certificate - for children under 14;
SNILS is a small green card that is issued by the Pension Fund even for newborns;
if a person has arrived from another state and has refugee status, he is obliged to present a certificate of granting him such or a temporary certificate issued for the period of consideration of the application for recognizing the subject as a refugee.

The documents for obtaining a new type of insurance policy are, in principle, the same for everyone:

a correctly completed application to an organization whose specialization is medical insurance;
a certified copy of a document by which you can uniquely verify your identity;
a certified copy of SNILS (if available).
a certified copy of a document confirming the status of "refugee" (certificate of consideration of an application on this issue), residence permit, identity document of a stateless person, where there is a mark confirming the legality of residence in the territory of the Russian Federation for foreign citizens, refugees and stateless people respectively.

By submitting an application for a single-sample medical insurance document, the applicant receives a certificate that replaces the policy and gives the right to receive medical care until the registration procedure is completed.

This certificate can be used for no longer than thirty working days, after which the original medical insurance document in the form chosen by the applicant must be received.

Regardless of whether you are a citizen of the Russian Federation or not, it is quite simple and quick to get a new type of insurance policy.

As in any case started by the Russian authorities, when receiving a single policy that guarantees medical care, there are a number of nuances that need to be prepared for.

You can change the insurance company only once during a calendar year and strictly until November 1. An exception is the new owner's registration address.

Insurance is carried out by one organization at a time. Accordingly, a person can be the owner of one policy.

If the plastic format has been lost or damaged, then only its paper counterpart can be issued to replace it.

In the plans of the country's government, over time, massively move to a universal electronic card, which will replace policies (not only the old, but also the new model), performing the functions of identity cards, certificates of pension insurance, etc., opening access to a variety of state and municipal services in any region Russian Federation without payment.

It has been in effect since the beginning of 2014. First of all, we note that it is necessary to replace the old insurance with a new one, but even without such a replacement, its use is permissible.

When applying, she guarantees the provision of the necessary medical care. The legislation did not establish a deadline for the exchange, after which the use of old-style documents is impossible.

However, despite this, the new option has some very important advantages.

One of them is that it is the same for all regions of the Russian Federation. What exactly does this mean?

Previously, the compulsory medical insurance policy was valid only where it was issued and had no legal force in the rest of Russia. Now this situation has completely changed. Having received it in one region, you can use it throughout the state.

Another important advantage is that the new insurance can be issued not only in paper form, but also in the form of a plastic card or as an additional service, which is included in the Universal Electronic Card (UEC).

Now there are policies that were issued at different times. Of course, it is more convenient and practical to use a new document, because it is valid throughout the country, in contrast to those that were issued before.

However, at the moment, all of them are valid, despite the fact that the expiration date, which was once indicated there, has already passed. The latter circumstance cannot be the reason for the denial of medical care.

As for the new policy, it has an unlimited validity period.

However, time limits do exist in some cases. They belong to those people who are temporarily in our state and the period of such stay has expired. In this case, we can talk about those who have received only a temporary residence permit in Russia (which has ended) or about those who have refugee status, which has already expired.

READ ALSO: How to check the OSAGO policy for authenticity in the PCA database?

To obtain it, you need to contact the insurance company with a document that can verify the identity of the applicant. If this document may take some time, the company issues a temporary insurance policy.

Its duration is limited and usually does not exceed one month. If the registration does not end in a month, then the temporary insurance is extended.

Upon receipt, an identity document must be presented. Usually we are talking about a passport. In the event that a policy is issued for a child, a birth certificate must be presented. A situation is also allowed when registration is made to a third party. In this case, you must have the appropriate power of attorney.
An existing document. Its presentation is desirable, but not required.
Insurance certificate that relates to compulsory pension insurance. This document is desirable, but not required.

Here is a list of them:

Newborns.
Those who previously did not have a compulsory medical insurance policy.
Lost this document.
Changed last name or first name.
If the existing policy contains deliberately false information.
If there is a change of residence, and in the new place there is no branch of the insurance company that previously issued it.

Since everyone must have a policy, even newborn children can get it.

Today, out of 12 million citizens insured in Moscow, 7.5 million have a 1998 policy. The rest use a paper policy.

The decision to speed up the introduction of electronic cards was made due to the fact that the health authorities received a large number of relevant requests from citizens. Photo: TASS / MHI Foundation Press Service About the new electronic MHI policy On the MHI electronic policy, which looks like a regular plastic card, there is a chip - the same as on bank cards.

The chip contains the following information about the insured person: date, place of birth, citizenship of the patient, his current insurance Company and the territory of insurance. This information makes the job easier medical institutions: easier for them to identify the patient, easier to bill for insurance medical organization on the basis of the provision of medical services.

persons with Russian citizenship,
permanently residing in Russia,
refugees living in Russia.

About the new health insurance policy. How do I get medical help? Starting from May 1, 2011, Russia began issuing compulsory health insurance policies based on the new Federal Law. Starting from May 1, 2011, Russia began issuing compulsory health insurance policies based on the new Federal Law.

How to get a new one medical policy In accordance with the Federal Law "On Compulsory Health Insurance in the Russian Federation" dated November 29, 2010 No. 326-FZ, from January 1, 2011, each citizen can independently choose an insurance company and receive a medical policy (compulsory medical insurance policy).

You can change your old medical policy to a new one until January 1, 2014. As practice shows, few people know how to act, where to go and what documents to submit.

On the territory of Nizhny Novgorod, you can get a new medical policy in several organizations to choose from: OJSC ROSNO-MS, LLC SK Ingosstrakh-M, CJSC Capital Medical Insurance and LLC Medical Insurance Company RESO-Med.

Today, if you have an old-style medical policy (pink card), then you don't need to worry.

Regardless of whether you are a citizen of the Russian Federation or not, it is quite simple and quick to get a new type of insurance policy. Do I need to renew or order a re-release? First of all, it should be emphasized that all medical insurance documents received at hand, dated January 1, 2011 and earlier, are required to accept any medical institution.

Whether or not to change the old version is the business of its owner.

New compulsory health insurance policy What you need to know about new compulsory health insurance From January 1, 2011, in accordance with the Law "On Compulsory Health Insurance in the Russian Federation" dated November 29, 2010 No. 326-FZ (hereinafter - Law No. 326-FZ), each citizen can independently choose an insurance company and get a compulsory medical insurance policy.

compulsory health insurance issued to persons insured under compulsory health insurance prior to the entry into force of Law No. 326-FZ on compulsory health insurance, are valid until they are replaced by compulsory health insurance of a single sample.

Plastic compulsory health insurance ( new sample OMS policy) is an officially approved document that allows its owner to receive completely free medical care throughout the country. Plastic is one of the types of compulsory health insurance on a par with a regular paper policy and a universal electronic card.

Marina Tivanova: New OMS is a policy of a single sample, which is valid throughout the territory of the Russian Federation.

They began to issue them since the entry into force of the Federal Law No. 326 of November 29, 2010

"On compulsory health insurance in the Russian Federation"

Up to this point, in different regions may differ in appearance. Now, however, the same policies are issued everywhere, which makes it possible for people to calmly and confidently contact medical institutions to receive medical care.

From January 1, 2011, in accordance with the Law "On Compulsory Medical Insurance in the Russian Federation" dated November 29, 2010 No. 326-FZ (hereinafter referred to as Law No. 326-FZ), each citizen can independently choose an insurance company and receive an OMI policy.

Compulsory health insurance policies issued to persons insured under compulsory health insurance prior to the entry into force of Law No. 326-FZ on compulsory health insurance are valid until they are replaced with policies compulsory insurance a single sample.

Medical insurance will be issued to a citizen once, his replacement when changing place of work, place of residence, insurance company will not be required, it will provide free medical care within the framework of the basic compulsory medical insurance program in all medical institutions of the Russian Federation operating in the compulsory health insurance system.

The list of documents required to obtain a policy is usually presented on the website of the selected insurance organization.

The compulsory medical insurance is prepared within a month.

An insurance policy of compulsory medical insurance is a document that guarantees a person's right to provide him with timely and complete medical care. He confirms that the insurance company, and not the person who seeks the doctor, will pay for calling an ambulance, outpatient treatment, as well as being in a hospital.

Today you will be presented with a sample of a new sample of a medical policy. More recently, a similar document appeared in Russia.

But now it is in great demand. What kind of paper is this? How can it be framed? What are the pros and cons of it? It is necessary to understand all this further.

In reality, everything is not as difficult as it seems. After all, many citizens have already got acquainted with the new type of medical policies.

In view of the implementation of the program to create a unified information base, a new policy has been issued since 2011. Old-style policies remain valid until they are replaced with a new one. A new type of compulsory medical insurance certificate (compulsory medical insurance policy) today can be issued throughout the Russian Federation.

Plastic medical policy of a new type is an officially approved document, according to which free medical care is provided in any Russian region. Starting from May 2011, any citizen of the Russian Federation can replace their paper OMS policy with a plastic equivalent.

Goznak presented new compulsory medical insurance policies - with Russian chips. They began to be issued to citizens from May 1. Today, systems for reading information from domestic chips are already in 49 regions (they have the appropriate technical equipment). The rest will catch up by the end of 2017.

Document confirming availability health insurance the patient, allows him to timely use the package of medical services provided by the state, which will be paid for by the insurance company.

Not every person today knows that all variations of the new policy in the country are equivalent. And the presence of a document of one form or the absence of another cannot become a reason for denial of service in the chosen institution.

How do they differ from each other and which of the varieties has more advantages? We will answer these questions in this article.

How to issue a new plastic OMS policy in 2018 is detailed in Russian legislation. It also indicates the nuances that you need to know about in order to minimize the risks of getting a refusal.

Starting from January 2014, a program to replace paper forms of compulsory health insurance with a plastic equivalent came into force. All information regarding its content is stored by an electronic chip.

Documents required to obtain a policy of compulsory health insurance What you need to know about a new compulsory medical insurance policy From January 1, 2011 in accordance with the Law "On Compulsory Medical Insurance in the Russian Federation" dated November 29, 2010 No. 326-FZ (hereinafter - Law No. 326-FZ ) each citizen can independently choose an insurance company and receive an OMI policy.

1 How to issue and obtain a policy? 2 What is the difference between the new version of the policy and the old one? 3 What does the new form look like? 4 Frequently asked questions 5 Video on the topic Compulsory health insurance policy is a document that ensures the insured person is guaranteed the provision of a range of services provided for by the compulsory medical insurance within the territory Russian Federation.

READ ALSO: How and where can I get tested for allergens under the compulsory medical insurance policy and how to get a referral?

Since 2014, a program has come into force to replace paper forms of compulsory health insurance with a plastic equivalent. All information about its carrier is stored by an electronic chip. All residents of our country can become its owner. What is the difference electronic variant? What changes should be expected in connection with the introduction of the new document?

A lot of time has passed since the usual mandatory health insurance policy became possible to issue in the form plastic card... But questions about its use still remain. What is more - advantages or disadvantages of a new type of plastic compulsory medical insurance policy, where to get it and how to issue it?

In the first case, all Russian citizens and some categories of foreigners can receive medical assistance.

The cost of providing medical services is borne by state budget... The voluntary type of insurance excludes the possibility of state aid - payment is made exclusively by insurance companies.

Important points

The OMS policy is a certificate that provides an opportunity to receive high-quality medical care. The document of a new sample implies a plastic card that resembles a bank card.

How to get a policy?

You can. But not all, but only those that are included in the list of vital medicines, which is approved by the Government of the Russian Federation every year.

When receiving it for a child, you need to present a birth certificate as an identity document. Otherwise, the procedure for obtaining a policy is standard.

Each of us can get sick or hurt. In this case, the state provides for the possibility of free provision of medical care upon presentation of this document. The amount of such assistance, as well as the list of its types, is determined by the current state programs.

They are of two main types:

Programs that operate throughout the country.
Those programs that operate in certain regions.

In the latter case, services are provided in accordance with the region in which the insurance policy was issued.

We are talking about providing such types of assistance as:

primary;
specialized;
ambulance;
palliative care.

A citizen visits a state insurance company and draws up an application for the issuance of a policy to him. Insurance agent you will need to present documents:

Passport of a citizen of the Russian Federation.
SNILS - insurance number of an individual personal account.

Foreign citizens submit a residence permit, refugee passport or an application for its receipt to the listed list of documents.

How to get an IVF quota under the compulsory medical insurance policy in 2015 and 2018 Today, many couples are faced with the need to undergo IVF. However, this operation is considered one of the rather expensive ones. At the same time, for many parents, this is the only way to give birth to a long-awaited baby.

Why do you need a health insurance policy and how to get it? The principle of building a great state is based on strong-minded and physically healthy people, therefore the government is developing various social programs to support the population.

In the Russian Federation, any citizen with an insurance policy can receive the necessary medical services in any region of the country absolutely free.

How to get a policy? Collecting documents Walking to the office of the State Metallurgical Company Obtaining a temporary policy In a month you pick up your policy. In accordance with russian legislation any citizen of Russia, as well as certain categories of foreign citizens, have the right to obtain a compulsory health insurance policy.

Compulsory medical insurance policy is a document that gives the right to free medical care in the amount provided for by the Territorial program of state guarantees for free provision of medical care to citizens in the territory of insurance and the basic program of state guarantees for free provision of medical care to citizens throughout the Russian Federation.

For this, an application form is filled out for choosing or replacing an insurance organization. The representative is obliged by law to provide insurance specialists with copies or originals of the birth certificate, passport.

After fourteen years, SNILS is one of the mandatory documents for obtaining a policy. Also, the child's representative must present a passport.

Features of obtaining a compulsory medical insurance policy (MHI) in 2018

So, these include:

ambulance services;
preferential prosthetics;
vaccines for pregnant women;
inpatient and outpatient care in case of skin, venereal, mental, drug addiction and HIV;
fluorography to detect tuberculosis and others.

If we are talking about planned operations, or the disease is not included in the list approved by the Health Committee, then such costs are covered by insurance, or from the patient's pocket, if the amount exceeds the insurance one.

The range of services will be determined in accordance with the diagnosis, according to the standards approved by the RF Ministry of Health and Social Development. What services are provided free of charge Any treatment or diagnostic procedure that has been prescribed by a doctor, everything must be performed free of charge.

In addition to what the doctor has appointed, he can also "advise", so whether to follow the advice and pay extra money is up to you.

In the CHI system, it has a circulation and a temporary certificate, which is issued to the insured person immediately after applying for an CHI policy.

Passport of a citizen of the Russian Federation.
SNILS insurance number of an individual personal account.
Birth certificate (for children under 14 years old, for which a medical policy is issued).

Can I get medicines for free under compulsory medical insurance?

If you have a compulsory medical insurance policy, it means that you have the right to be treated for free throughout Russia. The minimum amount of medical care can be found in the basic compulsory health insurance program. If in doubt, whether your case falls under the compulsory medical insurance, call your insurance company and specify.

If you need urgent help or emergency hospitalization (you broke your leg, got poisoned, you have an acute attack), you are obliged to provide assistance for free, even without a policy.

In addition to the all-Russian basic program, each region has its own program. It includes additional services that are not included in the basic list. You can find out what is included in the territorial program of your region on the website of your territorial fund.

From January 1, 2014 the policy is replaced by UEC - myth or reality?

This is not true, although the statement cannot be called unfounded.

Despite the fact that the new OMI insurance policy does not contain a date after which its validity ceases, there are still certain circumstances, as a result of which it is imperative to replace this document:

When changing your passport for any reason. If it has fallen into disrepair, it is lost due to the change of surname and for other similar reasons.
The previous policy has expired. As mentioned above, this does not deprive the person of the right to receive medical care, however, in practice, it can create some difficulties in the preparation of the relevant documents.
If old document has become dilapidated and important information cannot be read on it.
If your old insurance is lost.
If personal data has changed. We can talk, for example, about changing the name, address of residence or other changes of this kind.

How to get a policy?

Yes, with the compulsory medical insurance policy, you have the right to undergo a free medical examination and find out if everything is all right with you. Clinical examination is an examination that helps to identify the risks of developing various diseases (oncological, cardiovascular, diabetes mellitus and others).

Starting from the age of 21, medical examination can come every three years: that is, at 21, then at 24, at 27, 30 and so on. In addition to the medical examination, there is also a free preventive examination - this is an abbreviated version of the medical examination. It can be completed once every 2 years.

Recently, high-tech medical care has been included in the basic CHI program, for example, audiological screening and the use of assisted reproductive technologies (in vitro fertilization - IVF).

Two poles of one policy Do I need to change the old health insurance card for a new electronic Medical policy this year is not necessary to change. But if in the future you want to get access to your personal electronic account with your medical history, then the usual paper policy should still be replaced with an electronic document or get a UEC - a universal electronic card.

The Deputy Chairman told about this "RG" Federal Fund compulsory health insurance (FFOMS) Yuri Necheporenko. Yuri Alekseevich, recently some kind of hysteria has begun - medical institutions and some media constantly urge us to urgently change old medical policies for new ones.

What does a compulsory medical insurance policy look like?

Voluntary health insurance (VHI), in contrast to the CHI, is paid. The cost of the policy depends on what services it includes: the wider the range, the more expensive.

Voluntary health insurance usually guarantees all the same services as OMC, but on more comfortable conditions, without queues, with a high level of service. Also, the VHI may include additional services (they depend on the terms of the contract): calling a doctor at home, receiving narrow specialists, hospitalization, and even international medical assistance.

Compulsory health insurance policy (MHI) of a new sample, in the form of a card with electronic media information, in 2019 is available for receipt throughout Moscow.

Why do you need a compulsory medical insurance policy

To be presented to healthcare professionals when receiving free healthcare.

The policy is valid throughout the Russian Federation. Therefore, if you go to travel around the country, it is better to take it with you.

In the absence of a policy, you will only be able to receive emergency assistance.

Who can use CHI services

All citizens of the Russian Federation, as well as foreign citizens and stateless persons living in the Russian Federation.

Resident status for foreigners is confirmed by:

residence permit
temporary residence permit - compulsory medical insurance is issued for the period of the permit

What services can be obtained under compulsory medical insurance

There is no single list of services that can be provided under the compulsory health insurance program. There are only classes of diseases for which assistance is provided at the expense of the CHI funds.

The range of services will be determined in accordance with the diagnosis, according to the standards approved by the RF Ministry of Health and Social Development.

What services are provided for free

Any treatment or diagnostic procedure that has been prescribed by a doctor should be done free of charge.

In addition to what the doctor has appointed, he can also "advise", so whether to follow the advice and pay extra money is up to you.

In any case, no one forbids calling the insurance company and clarifying whether such treatment will be paid for.

Do you need to change the old to the new

Paper forms of a single sample, issued earlier, operate on a par with new electronic cards, as well as old plastic cards without a chip, model 1998. Replacing the old one with a new one is not required.

What are the benefits of the new compulsory medical insurance policy of 2015

Compact size - easy to carry
Photo and sample signature - no need to present your passport at a hospital or clinic
Support for all functions of infomats - electronic terminals installed at the entrance to medical institutions

Where to get a medical policy

In Moscow, there are about a dozen insurance companies:

JSC "MSK" UralSib "
JSC "SG" Spasskie Vorota-M "
SOGAZ-Med Insurance Company JSC
Ltd VTB Medical insurance
JSC "MAKS-M"
LLC "MSK" MEDSTRAKH "
LLC "Rosgosstrakh-Medicine"
LLC "SMK RESO-MED" (Moscow branch)
LLC IC "Ingosstrakh-M"

The choice will depend rather on the location of the offices and the availability of a phone number where you can get advice around the clock. The availability of a competent support service will help to sort out a disputable situation with a medical institution.

How to get a compulsory medical insurance policy in Moscow

You need to submit an application to the selected insurance company, most likely you will not have to fill it out, the operator will do it for you. You need to have a passport and an insurance certificate of compulsory pension insurance (SNILS) with you - if you have one. For children under 14 years old - a birth certificate.

The policy will be issued to you in 30 days, but for now you will have a temporary certificate that can be used during this period of time. The insurance company will notify you of readiness.

The conditions for the validity of the OMI policies are enshrined in the provisions listed in the "Rules compulsory medical insurance", Entered into force by the Order of the Ministry of Social Development of the Russian Federation No. 158n dated February 28, 2011. These Rules for the provision of medical care are periodically amended. Thus, the wording of the provisions was also updated in 2017. What is the essence of the changes that took place in 2017? What caused these changes and what might they entail? We will answer these questions in this article.

What do the CHI rules regulate?

Most citizens throughout their lives are faced with diseases of varying severity. These can be violations as a result of infections, exacerbation of chronic diseases, injury, pregnancy and childbirth. In all these cases, for the further normal functioning of the human body and for the purpose of partial or complete recovery, it is necessary to provide medical care.

The state guarantees the receipt of timely and qualified medical services within the framework of a functioning compulsory health insurance system. Thus, the compulsory medical insurance is an opportunity for citizens to receive timely medical care. The range of services within the program is quite diverse and consists of the following points:

Ambulance and emergency medical aid;
Outpatient treatment;
Hospital stay;
Provision of diagnostic and preventive services;
Provision of medicines to privileged categories of citizens;
Vaccination;
Other medical services under the CHI.

Medical assistance is provided within the framework of the compulsory medical insurance free of charge. The source of funding is employers and constituent entities of the Russian Federation. Contributions to the CHI fund are made periodically within the established tariffs.

Who are the insured persons?

Take advantage of cHI services quite a wide range of people can. First of all, this includes citizens of the country, including non-working people, persons of retirement age, children and others. The insured also include foreign citizens temporarily or permanently residing in the territory of the Russian Federation, refugees and stateless persons. As insured in the CHI system in accordance with Art. 10 of Law No. 326-FZ of November 29, 2010, self-employed citizens, as well as members of peasant farms, persons undergoing full-time education, disabled people, guardians of disabled people and others are considered.

Foreign highly qualified specialists and their family members are not recognized as insured. Employers do not pay for them insurance premiums in the MHIF (compulsory health insurance fund). But these categories of persons have the right to receive medical care in the country, having a voluntary medical insurance policy (VHI) available.

Rights and obligations of participants in insurance relations

There are 3 types of participants in the medical insurance system in 2017. These are insurers, policyholders and insured persons. The insured are citizens and other persons who are entitled to receive medical assistance within the framework of the CHI. To confirm the status, a medical insurance policy is issued, which allows you to receive the necessary list free services throughout the Russian Federation.

Insurance companies act as insurers. Their responsibilities include paying for medical services, protecting rights in terms of receiving timely and high-quality medical services. The policyholders are, as a rule, the employers of the insured persons, the constituent entities of the Russian Federation. Their main task is the timely transfer of contributions to the FFOMS.

Changes in the CHI affecting certain categories of the population

Since 2017, there have been some changes in the CHI system. In the previous OMS rules adjustments were made based on the Order of the Ministry of Health of Russia dated October 27, 2016 No. 803n. The adopted amendments affect foreign citizens and stateless persons. The policies they receive can be presented only in paper form with a period of validity until the end of the current period (year). At the same time, the condition remains that the final period of the document cannot be longer than the expiration of the period of the temporary residence permit. Innovations also affect citizens whose states are part of the EAEU (Armenia, Belarus, Kyrgyzstan, Kazakhstan). For Russian citizens, the compulsory medical insurance policy remains indefinite.

The format of compulsory medical insurance policies in 2017

Starting in 2017, a new format of compulsory medical insurance policies began to operate in the Russian Federation. Their size was significantly reduced, and a Russian chip was included in the structure, which allows reading information. It was planned that the required technical equipment would be introduced on the territory of all constituent entities of the Russian Federation by the end of 2017. The new document format makes it possible to read information about the owner electronically. Therefore, there should be no problems with obtaining information about the patient. In the event that the owners of new policies present them in regions where there is insufficient technical equipment, customer data can be found by the policy number from the general OMS base.

For those citizens who still have old-style policies, problems should also arise. It is not planned to limit the validity period of the previous forms of documents yet. In this case, if desired, it is possible to change the document of the old paper sample to a more modern one.

The advantages of the new policy designs are obvious. First of all, it is a more compact format. Holders of a small card with a chip will no longer have to risk damaging the document due to its deformation. All information can be read electronically thanks to the embedded chip. The technology of manufacturing policies of a new sample contributes to their greater preservation. It will be almost impossible to spoil the document by accident. In addition, the policies contain the following information about the owner:

Passport data;
Photo of the owner;
Owner's electronic signature;
The name of the insurance company.

The current rules of compulsory health insurance for citizens of the Russian Federation will remain unchanged. But there will be an opportunity to get a more modern document or exchange the old policy for a new one. The provisions of the CHI will also allow insured persons to receive the necessary services within the framework of the current legislation. Small innovations will affect only stateless persons and foreigners. It is not yet possible for them to issue a new policy, and the validity period of the document is now limited to a calendar year.

Conclusion

The compulsory health insurance rules, updated in 2017, affected foreign citizens and stateless persons, who, from that year, were issued only paper policies valid until the end of the year. In addition, since 2017, compulsory medical insurance policies have been issued to citizens arriving for work from the EAEU countries. Russian citizens can, from the specified year, exchange their policies for a new document - a plastic card with a chip.

Russian citizens have the right to receive free medical care throughout the country, regardless of their place of registration and residence. This right is provided by the Federal Law "On Compulsory Health Insurance in the Russian Federation", and is guaranteed by his compulsory medical insurance policy. How to issue a policy, what documents will be required and where it can be done in the Moscow region, read the website material.

Why do you need a compulsory medical insurance policy

Source:, press service "RESO-MED"

With a policy, a citizen can seek help from a polyclinic, hospital, city treatment centers and a number of other medical organizations participating in the compulsory health insurance program. If a resident of the Moscow region has received a policy on the territory of the region, then he will also be able to receive additional medical services that are not included in the state basic program - to apply for medical assistance for the treatment of tuberculosis, sexually transmitted diseases, mental disorders and behavioral disorders, including related with the use of psychoactive substances.

The full list of services to which the insured citizen is entitled can be found in the Decree of the Government of the Moscow Region "On the Moscow Regional Program of State Guarantees of Free Provision of Medical Care to Citizens". Such regulations are published annually. You can view the documents.

How to get a compulsory medical insurance policy

Source: Photobank of the Moscow Region, Boris Chubatyuk

Obtaining a compulsory medical insurance policy is quite simple. To do this, you need to collect documents, choose an insurance company and submit an application. The policy is issued for 1 month, for this time the applicant is issued temporary policy, where you can get all guaranteed services.

Required documents

To obtain a compulsory medical insurance policy, an adult resident of the Moscow region will need to present a passport, insurance certificate of compulsory pension insurance (SNILS). To issue a policy for a child under 14 years old, you need to present the child's birth certificate, the passport of one of the parents (or legal representative, guardian) and SNILS. Foreign citizens must present an identity document with a note on a temporary residence permit in the Russian Federation.

Choosing an insurance company

After collecting all required documents you need to decide on an insurance medical organization (CMO). It is better to choose it at the place of residence, since in this case the policy makes it possible to receive services not only for the basic federal, but also for the territorial cHI program.

Several health insurance companies participate in the implementation of the Moscow regional compulsory health insurance program every year. Detailed information about insurance companies can be found on the MHIF website in the section of the register of insurance companies.

Where to apply

You can apply for an MFC policy directly at the insurance company itself, the clinic to which the citizen is attached, and at the MFC office. In the latter, the service is provided only for children under 1.5 years old.

The procedure for applying for a compulsory medical insurance policy in an insurance company and a polyclinic can be clarified on the websites of institutions or by phone numbers indicated in the register. As a rule, an application form will be provided on the spot. The employee will make a copy of the passport (main page and registration page) and SNILS.

Issuance of a policy

After submitting the application, a temporary medical policy is issued. It guarantees the right to free medical care in the event of an insured event.

The policy itself is prepared within 30 working days from the date of application and issuance of a temporary document.

Replacing the policy

How to get a policy for a child

Where to get the policy

Important (!)

For policies of a single sample.

What does the Oms policy of a single sample look like

indefinitely.

The procedure for obtaining a policy

SNILS (if available).

4) for:

residence;

SNILS (if available).

5) for:

residence;

SNILS (if available).

6) for:

SNILS (if available).

7) for:

SNILS (if any);

8) for:

9) for:

10) for

11) for

change of name, patronymic,

change of residence.

show your passport.

Where to get the policy:

ATTENTION!

Compulsory medical insurance policy of a new type

What you need to know about the new compulsory medical insurance policy

The procedure for obtaining (issuing) a new compulsory medical insurance policy

Documents required to obtain a compulsory health insurance policy

When it is necessary to replace (reissue) the policy

How to get a policy for a child

Where to get the policy

What kind of medical assistance can be obtained for free

What you need to know about the new compulsory medical insurance policy

From January 1, 2011, in accordance with the Law "On Compulsory Health Insurance in the Russian Federation" dated November 29, 2010 No. 326-FZ (hereinafter referred to as Law No. 326-FZ), each citizen can independently choose an insurance company and receive an OMI policy.

Important (!)

All compulsory medical insurance policies issued to citizens before May 1, 2011 remain valid until they are replaced for policies of a single sample.

What is a plastic compulsory medical insurance policy?

According to these "old" policies, you are required to provide the necessary medical care under the compulsory medical insurance programs.

There are no time limits for replacing old policies with new ones by law. When to make this replacement - you decide on your own, and there should be no worries in this matter (we will have time, we will not have time). Therefore, there is no need to rush to obtain a single compulsory medical insurance policy.

The exchange will be carried out gradually over several years until 2014.

Compulsory health insurance policies of a single sample are produced by the Federal Fund for Compulsory Medical Insurance on a centralized basis, they are personalized, with high parameters of protection against counterfeiting and the introduction of changes or distortions of the data that is posted on it. For citizens of the Russian Federation and foreign citizens permanently residing in Russia, as well as stateless persons, policies of a single sample are issued indefinitely.

Insurance companies started issuing new electronic compulsory health insurance (MHI) policies.

The electronic health insurance policy resembles the usual bank card, equipped with a similar chip, contains personal data of the insured (full name, date of birth, place of residence, insurance company, etc.). On the reverse side there is a photo and personal signature of the owner.

To obtain an electronic compulsory medical insurance policy, you need to apply to your insurance company. It will be produced in 30 working days. Circulation of electronic policies does not cancel the validity of old-style policies, which are valid until the owner replaces them, for example, due to a change in surname, place of residence or change of insurance company.

The procedure for obtaining a policy

To obtain a single compulsory medical insurance policy, you need to contact an insurance company. In this case, first you must decide the question of which medical insurance organization (HMO) to apply to, because Law No. 326-FZ gives you the right to choose HMO. Thus, the first legal action that you must take is choose an insurance medical organization.

The choice of an insurance company is confirmed by the execution of an application, the form of which will be provided to you by the insurance company. When contacting an insurance medical organization, you must present a document proving your identity (passport), as well as the insurance number of an individual personal account (if any) assigned to you in the Pension Fund of the Russian Federation (SNILS).

If necessary, a specialist of the insurer will help you fill out an application, and after completing it, he is obliged to check the accuracy of the data entered into it on the basis of the documents you submitted. It is necessary to draw up the application very carefully, corrections in it are not allowed. The veracity of your personal data specified in the application is confirmed by your signature on the application, as well as the signature of an insurance company specialist.

The choice of an insurance company for children, until they reach the age of majority, is made by their legal representatives: parents and guardians, who are required to submit their passport, birth certificate of the child and his SNILS (if any) to the CMO.

You also need to know that a citizen can choose or replace an insurance company no more than 1 time during a calendar year. An exception to this rule is situations associated with a change in your place of residence or the termination of the activities of the insurance company in which you were previously insured.

On the basis of your application for choosing an insurance company, on the day of your application, you will be issued a temporary certificate confirming the execution of a uniform policy. The temporary certificate has a limited validity period - 30 working days from the date of its issuance. Why is he given out? Why can't you immediately get a new uniform compulsory medical insurance policy? There are two main reasons for this.

Each citizen can have only one compulsory medical insurance policy of a single sample. Therefore, before ordering such a personalized policy for you, the insurance company is obliged to check whether you have already received this policy by contacting another insurance company earlier. Such a check is given 5-10 days from the date of issuing a temporary certificate. If it turns out that you have already received a compulsory medical insurance policy of a single sample from some other insurance company, you will be refused to issue the policy again. The insurance company that issued you a temporary certificate is obliged to inform you about this.

If you have never received the policy of a single sample, and this is confirmed by the conducted check, then such a policy will be ordered for you. Territorial fund will include information about you in the application for the production of policies, and send the application to the Federal CHI Fund. However, it takes some time to make and issue personalized policies of a single sample and then deliver them to the regions from the Federal MHI Fund.

According to experts' calculations, 30 working days is exactly the period that is required for all the above procedures. During this entire period, you will be able to receive medical care according to territorial program CHI at the place of residence or the basic CHI program in any other region of the Russian Federation, by presenting a temporary certificate issued to you. Well, after the policy of a uniform sample, made for you, arrives at the insurance company of your choice, the CMO is obliged to inform you about its delivery and the possibility of receiving it.

The temporary certificate and the compulsory medical insurance policy itself of a single sample are strict reporting forms, therefore, when you receive them from an insurance company, you must sign in a special journal, confirming with your signature that you really received them.

Documents required to obtain a compulsory health insurance policy

The following documents or their certified copies required for registration as an insured person are attached to the application for the choice (replacement) of an insurance medical organization:

1) for children after state registration of birth and up to 14 years oldwho are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen and older:

an identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport);

SNILS (if available).

3) for persons entitled to medical assistance in accordance with the Federal Law "On Refugees": a refugee certificate or a certificate of consideration of an application for recognition as a refugee on the merits, or a copy of a complaint against a decision to revoke refugee status to the Federal Migration Service with a note about it admission for consideration.

4) for foreign citizens permanently residing in the Russian Federation:

passport of a foreign citizen or other document established by federal law or recognized in accordance with an international treaty of the Russian Federation as a document certifying the identity of a foreign citizen;

residence;

SNILS (if available).

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as an identity document of a stateless person;

residence;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

a passport of a foreign citizen or another document established by federal law or recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a foreign citizen, with a mark on a temporary residence permit in the Russian Federation;

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as a document certifying the identity of a stateless person, with a mark on a temporary residence permit in the Russian Federation;

or a document of the established form issued in the Russian Federation to a stateless person who does not have an identity document;

SNILS (if any);

8) for representative of the insured person:

9) for legal representative of the insured person:

10) for persons without a fixed place of residence and occupation (including children) in the absence of identity documents, social assistance institutions submit an application for registration as an insured person, containing:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund;

11) for persons not identified during treatment, a medical organization submits an application for the identification of the insured person, containing:

alleged information about the insured person (surname, name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund.

When it is necessary to replace (reissue) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

change of surname (for example, if you got married and changed your surname)

change of name, patronymic,

change of residence.

In the latter case, we are talking about moving to a permanent or temporary place of residence (subject to temporary registration) to another constituent entity of the Russian Federation (region, republic, territory).

It is also necessary to reissue the policy when:

change of date of birth, place of birth

establishment of inaccuracy or erroneous information contained in your compulsory medical insurance policy.

In the presence of these circumstances, a citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

Compulsory health insurance for children from the day of birth to the day of state registration of birth is carried out by an insurance company in which their mothers or other legal representatives are insured.

After the day of state registration of the child's birth (after receiving the birth certificate) and until he reaches the age of majority, compulsory health insurance is carried out by an insurance company chosen by one of his parents or another legal representative.

Any insurance company operating in the region can be the child's insurance company.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application with the insurance company;

present the child's birth certificate, his SNILS (if any);

show your passport.

Where to get the policy:

What kind of medical care can be obtained for free

ATTENTION!

Useful links on the subject "OMS policy"

Tags: compulsory medical insurance policy, obtain compulsory medical insurance policy, get a new compulsory medical insurance policy

Compulsory medical insurance policy of a new type

What you need to know about the new compulsory medical insurance policy

The procedure for obtaining (issuing) a new compulsory medical insurance policy

Documents required to obtain a compulsory health insurance policy

When it is necessary to replace (reissue) the policy

How to get a policy for a child

Where to get the policy

What kind of medical assistance can be obtained for free

What you need to know about the new compulsory medical insurance policy

Important (!)

All compulsory medical insurance policies issued to citizens before May 1, 2011 remain valid until they are replaced for policies of a single sample.

According to these "old" policies, you are required to provide the necessary medical care under the compulsory medical insurance programs.

There are no time limits for replacing old policies with new ones by law.

What does the compulsory medical insurance policy look like?

When to make this replacement - you decide on your own, and there should be no worries in this matter (we will have time, we will not have time). Therefore, there is no need to rush to obtain a single compulsory medical insurance policy.

The exchange will be carried out gradually over several years until 2014.

Insurance companies started issuing new electronic compulsory health insurance (MHI) policies.

An electronic MHI policy resembles an ordinary bank card, is equipped with a similar chip, contains the insured's personal data (name, date of birth, place of residence, insurance company, etc.). On the reverse side there is a photo and personal signature of the owner.

The procedure for obtaining a policy

If you have never received the policy of a single sample, and this is confirmed by the conducted check, then such a policy will be ordered for you. The territorial fund will include information about you in the application for the production of policies, and send the application to the Federal CHI Fund. However, it takes some time to make and issue personalized policies of a single sample and then deliver them to the regions from the Federal MHI Fund.

According to experts' calculations, 30 working days is exactly the period that is required for all the above procedures. During this entire period, you will be able to receive medical care under the territorial compulsory medical insurance program at the place of residence or the basic compulsory medical insurance program in any other region of the Russian Federation, by presenting a temporary certificate issued to you. Well, after the policy of a uniform sample, made for you, arrives at the insurance company of your choice, the CMO is obliged to inform you about its delivery and the possibility of receiving it.

Documents required to obtain a compulsory health insurance policy

The following documents or their certified copies required for registration as an insured person are attached to the application for the choice (replacement) of an insurance medical organization:

1) for children after state registration of birth and up to 14 years oldwho are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen and older:

an identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport);

SNILS (if available).

4) for foreign citizens permanently residing in the Russian Federation:

residence;

SNILS (if available).

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as an identity document of a stateless person;

residence;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

or a document of the established form issued in the Russian Federation to a stateless person who does not have an identity document;

SNILS (if any);

8) for representative of the insured person:

9) for legal representative of the insured person:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund;

11) for persons not identified during treatment, a medical organization submits an application for the identification of the insured person, containing:

alleged information about the insured person (surname, name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund.

When it is necessary to replace (reissue) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

change of surname (for example, if you got married and changed your surname)

change of name, patronymic,

change of residence.

It is also necessary to reissue the policy when:

change of date of birth, place of birth

establishment of inaccuracy or erroneous information contained in your compulsory medical insurance policy.

In the presence of these circumstances, a citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

Any insurance company operating in the region can be the child's insurance company.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application with the insurance company;

present the child's birth certificate, his SNILS (if any);

show your passport.

Where to get the policy:

What kind of medical care can be obtained for free

ATTENTION!

Useful links on the subject "OMS policy"

Tags: compulsory medical insurance policy, obtain compulsory medical insurance policy, get a new compulsory medical insurance policy

Compulsory medical insurance policy of a new type

What you need to know about the new compulsory medical insurance policy

The procedure for obtaining (issuing) a new compulsory medical insurance policy

Documents required to obtain a compulsory health insurance policy

When it is necessary to replace (reissue) the policy

How to get a policy for a child

Where to get the policy

What kind of medical assistance can be obtained for free

What you need to know about the new compulsory medical insurance policy

Important (!)

All compulsory medical insurance policies issued to citizens before May 1, 2011 remain valid until they are replaced for policies of a single sample.

According to these "old" policies, you are required to provide the necessary medical care under the compulsory medical insurance programs.

The exchange will be carried out gradually over several years until 2014.

From May 1, 2017, they began to issue new compulsory medical insurance policies

Insurance companies started issuing new electronic compulsory health insurance (MHI) policies.

The procedure for obtaining a policy

According to experts' calculations, 30 working days is exactly the period that is required for all the above procedures. During this entire period, you will be able to receive medical care under the territorial compulsory medical insurance program at the place of residence or the basic compulsory medical insurance program in any other region of the Russian Federation, by presenting a temporary certificate issued to you. Well, after the policy of a uniform sample, made for you, arrives at the insurance company of your choice, the CMO is obliged to inform you about its delivery and the possibility of receiving it.

Documents required to obtain a compulsory health insurance policy

The following documents or their certified copies required for registration as an insured person are attached to the application for the choice (replacement) of an insurance medical organization:

1) for children after state registration of birth and up to 14 years oldwho are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen and older:

an identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport);

SNILS (if available).

4) for foreign citizens permanently residing in the Russian Federation:

residence;

SNILS (if available).

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as an identity document of a stateless person;

residence;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

or a document of the established form issued in the Russian Federation to a stateless person who does not have an identity document;

SNILS (if any);

8) for representative of the insured person:

9) for legal representative of the insured person:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund;

11) for persons not identified during treatment, a medical organization submits an application for the identification of the insured person, containing:

alleged information about the insured person (surname, name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund.

When it is necessary to replace (reissue) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

change of surname (for example, if you got married and changed your surname)

change of name, patronymic,

change of residence.

It is also necessary to reissue the policy when:

change of date of birth, place of birth

establishment of inaccuracy or erroneous information contained in your compulsory medical insurance policy.

In the presence of these circumstances, a citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

Any insurance company operating in the region can be the child's insurance company.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application with the insurance company;

present the child's birth certificate, his SNILS (if any);

show your passport.

Where to get the policy:

What kind of medical care can be obtained for free

ATTENTION!

Useful links on the subject "OMS policy"

Tags: compulsory medical insurance policy, obtain compulsory medical insurance policy, get a new compulsory medical insurance policy

Compulsory medical insurance policy of a new type

What you need to know about the new compulsory medical insurance policy

The procedure for obtaining (issuing) a new compulsory medical insurance policy

Documents required to obtain a compulsory health insurance policy

When it is necessary to replace (reissue) the policy

How to get a policy for a child

Where to get the policy

What kind of medical assistance can be obtained for free

What you need to know about the new compulsory medical insurance policy

Important (!)

All compulsory medical insurance policies issued to citizens before May 1, 2011 remain valid until they are replaced for policies of a single sample.

According to these "old" policies, you are required to provide the necessary medical care under the compulsory medical insurance programs.

The exchange will be carried out gradually over several years until 2014.

Insurance companies started issuing new electronic compulsory health insurance (MHI) policies.

The procedure for obtaining a policy

According to experts' calculations, 30 working days is exactly the period that is required for all the above procedures. During this entire period, you will be able to receive medical care under the territorial compulsory medical insurance program at the place of residence or the basic compulsory medical insurance program in any other region of the Russian Federation, by presenting a temporary certificate issued to you. Well, after the policy of a uniform sample, made for you, arrives at the insurance company of your choice, the CMO is obliged to inform you about its delivery and the possibility of receiving it.

Documents required to obtain a compulsory health insurance policy

The following documents or their certified copies required for registration as an insured person are attached to the application for the choice (replacement) of an insurance medical organization:

1) for children after state registration of birth and up to 14 years oldwho are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen and older:

an identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport);

SNILS (if available).

4) for foreign citizens permanently residing in the Russian Federation:

residence;

SNILS (if available).

New sample medical policy: its types and design features

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as an identity document of a stateless person;

residence;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

or a document of the established form issued in the Russian Federation to a stateless person who does not have an identity document;

SNILS (if any);

8) for representative of the insured person:

9) for legal representative of the insured person:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund;

11) for persons not identified during treatment, a medical organization submits an application for the identification of the insured person, containing:

alleged information about the insured person (surname, name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of stay);

information about the applying organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

the name of the territorial fund.

When it is necessary to replace (reissue) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

change of surname (for example, if you got married and changed your surname)

change of name, patronymic,

change of residence.

It is also necessary to reissue the policy when:

change of date of birth, place of birth

establishment of inaccuracy or erroneous information contained in your compulsory medical insurance policy.

In the presence of these circumstances, a citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

Any insurance company operating in the region can be the child's insurance company.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application with the insurance company;

present the child's birth certificate, his SNILS (if any);

show your passport.

Where to get the policy:

What kind of medical care can be obtained for free

ATTENTION!

Useful links on the subject "OMS policy"

Tags: compulsory medical insurance policy, obtain compulsory medical insurance policy, get a new compulsory medical insurance policy

Registration of an electronic health insurance policy

SOGAZ-Med invites citizens of the Russian Federation to issue an application for the issuance of an OMI policy in the form of a plastic card with an electronic carrier (electronic policy). *

The electronic MHI policy in the form of a plastic card with an electronic carrier, as well as the MHI policy on paper, allows you to receive free medical care under the state guarantees program throughout the Russian Federation. However, a plastic card (“electronic” OMS policy) has a number of advantages.

Compulsory Health Insurance Policy

It is more compact and durable, which is all the more important, given that the compulsory medical insurance policy is issued indefinitely. This form of compulsory medical insurance policy is especially convenient for citizens who often turn to medical institutions or go on business trips across Russia.

The procedure for obtaining an "electronic" MHI policy also consists of two stages: issuing a temporary certificate and issuing a finished policy within 30 working days. A plastic OMS policy contains an electronic chip, a unique OMS policy number, a photograph of the owner, his full name and signature. When issuing an OMS policy, you must take a photo and leave an electronic signature on a special tablet. This is done directly at the insurance office medical company at the time of contact, and you do not need to bring your photos. Children under 14 years old plastic policies Compulsory health insurance is issued without a photograph, so parents can issue compulsory health insurance policies for children without their presence at the office of the insurance company.

When submitting an application for an electronic MHI policy, you must submit documents, as when registering an MHI policy in the form of a paper form:

For an adult:

- passport;

For a child:

- SNILS of a child (for children under 14 years old - if available).

Electronic health insurance policies are issued free of charge and are valid throughout Russia in the amount of the basic program of state guarantees.

* The SOGAZ-Med compulsory medical insurance electronic policy is not available in all regions of the Russian Federation. To clarify the possibility of issuing an electronic policy on the territory of your region, you can call the contact center 8-800-100-07-02.

To make changes to the electronic OMS policy, a pin code is required.

Changes to the electronic MHI policy are made when replacing the medical insurance organization (HMO), in which the citizen was previously insured, for the following reasons:

- in accordance with the right to replace the CMO once during a calendar year no later than November 1;

- in case of change of place of residence;

- in case of termination of the agreement on financial support compulsory health insurance.

To replace the CMO, the following documents must be submitted to the newly selected CMO:

For an adult:

- passport;

- Electronic policy of compulsory medical insurance (if any).

For a child:

- birth certificate / passport (for children over 14 years old);

- passport of the parent / legal representative;

- SNILS of a child (for children under 14 years old - if available);

- Electronic policy of compulsory medical insurance (if any) .

When providing an electronic OMS policy a PIN code is required (issued in an envelope along with electronic policy OMS).